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Personality, Defenses, Mentalization, and Epistemic Trust Related to Pandemic Containment Strategies and the COVID-19 Vaccine: A Sequential Mediation Model.
Tanzilli, Annalisa; Cibelli, Alice; Liotti, Marianna; Fiorentino, Flavia; Williams, Riccardo; Lingiardi, Vittorio.
  • Tanzilli A; Department of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, 00185 Rome, Italy.
  • Cibelli A; Department of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, 00185 Rome, Italy.
  • Liotti M; Department of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, 00185 Rome, Italy.
  • Fiorentino F; Department of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, 00185 Rome, Italy.
  • Williams R; Department of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, 00185 Rome, Italy.
  • Lingiardi V; Department of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, 00185 Rome, Italy.
Int J Environ Res Public Health ; 19(21)2022 Nov 01.
Article in English | MEDLINE | ID: covidwho-2099504
ABSTRACT

BACKGROUND:

The COVID-19 pandemic has considerably influenced all domains of people's lives worldwide, determining a high increase in overall psychological distress and several clinical conditions. The study attempted to shed light on the relationship between the strategies adopted to manage the pandemic, vaccine hesitancy, and distinct features of personality and mental functioning.

METHODS:

The sample consisted of 367 Italian individuals (68.1% women, 31.9% men; M age = 37, SD = 12.79) who completed an online survey, including an instrument assessing four response styles to the pandemic and lockdown(s), the Personality Inventory for DSM-5-Brief Form, the Defense Mechanisms Rating Scales-Self-Report-30, the Reflective Functioning Questionnaire, and the Epistemic Trust, Mistrust, Credulity Questionnaire.

RESULTS:

Maladaptive response patterns to pandemic restrictions were related to dysfunctional personality traits, immature defense mechanisms, poor mentalization, and epistemic mistrust or credulity. Moreover, more severe levels of personality pathology were predictive of an extraverted-maladaptive response style to health emergency through the full mediation of low overall defensive functioning, poor certainty of others' mental states, and high epistemic credulity.

CONCLUSIONS:

Recognizing and understanding dysfunctional psychological pathways associated with individuals' difficulties in dealing with the pandemic are crucial for developing tailored mental-health interventions and promoting best practices in healthcare services.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Mentalization / COVID-19 Type of study: Observational study / Prognostic study Topics: Vaccines Limits: Adult / Female / Humans / Male Language: English Year: 2022 Document Type: Article Affiliation country: Ijerph192114290

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Mentalization / COVID-19 Type of study: Observational study / Prognostic study Topics: Vaccines Limits: Adult / Female / Humans / Male Language: English Year: 2022 Document Type: Article Affiliation country: Ijerph192114290